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Topics in Stroke Rehabilitation

Mayumi Wagatsuma, Taehoon Kim, Paulo Sitagata, Eunbi Lee, Konstantinos Vrongistinos, Taeyou Jung
BACKGROUND: Impaired balance and weak muscle strength are common deficits associated with stroke. Limited research has examined the relationship between balance and strength in people post-stroke. OBJECTIVE: To investigate the association between balance and muscular strength in people post-stroke. METHODS: A total of 11 people with chronic stroke, who were community dwelling and ambulatory, completed balance and strength assessments. A computerized dynamic posturography system was used for Limits of Stability (LOS) test, Sit-to-Stand (STS) test, and the Modified Clinical Test of Sensory Interaction on Balance (mCTSIB)...
February 11, 2019: Topics in Stroke Rehabilitation
Patricia Graef Vaz, Ana Paula da Silva Salazar, Cinara Stein, Ritchele Redivo Marchese, Janice Luisa Lukrafka, Rodrigo Della Méa Plentz, Aline Souza Pagnussat
BACKGROUND: Repetitive transcranial magnetic stimulation (rTMS) and transcranial direct current stimulation (tDCS) are noninvasive brain stimulation (NIBS) techniques able to modulate cortical excitability. OBJECTIVE: To determine the effects of NIBS combined with other therapies on gait speed after stroke. METHODS: Electronic databases searched were PUBMED, EMBASE, COCHRANE, SCOPUS, SCIELO and PEDro. Eligibility criteria were randomized controlled trials that reported the effects of tDCS and rTMS combined with other therapies for improving gait speed, walking cadence, functional ambulation category (FAC) and motricity index (MI-LE) after stroke...
February 8, 2019: Topics in Stroke Rehabilitation
Mark J Rapoport, Sarah C Plonka, Hillel Finestone, Mark Bayley, Justin N Chee, Brenda Vrkljan, Sjaan Koppel, Elizabeth Linkewich, Judith L Charlton, Shawn Marshall, Martin delCampo, Mark I Boulos, Richard H Swartz, Jaspreet Bhangu, Gustavo Saposnik, Jessica Comay, Jamie Dow, Debbie Ayotte, Desmond O'Neill
BACKGROUND: Returning to driving after stroke is one of the key goals in stroke rehabilitation, and fitness to drive guidelines must be informed by evidence pertaining to risk of motor vehicle collision (MVC) in this population. OBJECTIVES: The purpose of the present study was to determine whether stroke and/or transient ischemic attack (TIA) are associated with an increased MVC risk. METHODS: We searched MEDLINE, CINAHL, EMBASE, PsycINFO, and TRID through December 2016...
January 5, 2019: Topics in Stroke Rehabilitation
Xuejie Yang, Haibo Yu, Tao Zhang, Xiaozhou Luo, Li Ding, Bing Chen, Da Li, Xingxian Huang, Xiaoli Guo, Jie Jia
BACKGROUND: In China, Jin's three-needle acupuncture therapy has been widely used for stroke treatment. However, its mechanism remains unclear. The aim of this study was to investigate the effects of Jin's three-needle acupuncture therapy on stroke patients using multi-channel EEGs. MATERIALS AND METHODS: Fifty stroke patients participated and their EEG signals were recorded before, during, and after acupuncture. RESULTS: Comparing with baseline before acupuncture, the alpha rhythm was significantly increased during the acupuncture needle retention stage and became stronger after removing the needles...
January 2, 2019: Topics in Stroke Rehabilitation
P Broderick, F Horgan, C Blake, M Ehrensberger, D Simpson, K Monaghan
BACKGROUND: Previous lower-limb mirror therapy research has focused on non-weight bearing interventions. OBJECTIVES: The primary aim of this study was to investigate the effect and feasibility of a combination of mirror therapy and treadmill training on post-stroke lower-limb recovery compared to a placebo intervention. METHODS: All patients (N = 30) walked on a treadmill for 30 min per day, 3 days per week, for 4 weeks. The mirror therapy and treadmill training group (n = 15) walked on the treadmill while viewing a reflection of their non-paretic limb in a mirror positioned in their mid-sagittal plane...
December 22, 2018: Topics in Stroke Rehabilitation
Katrine Svaerke, Miriam Niemeijer, Jesper Mogensen, Hanne Christensen
OBJECTIVES: To identify studies concerning the effects of computer based cognitive rehabilitation (CBCR) on visuospatial neglect (VN) after stroke to summarize the current state of knowledge in this research field and make recommendations for future research. METHODS: Four electronic databases were systematically searched. Authors of relevant studies were contacted to detect unpublished data or articles not found by searching databases. Data was extracted from included studies using predefined coding schemes and characteristics and results of individual studies were summarized qualitatively...
December 20, 2018: Topics in Stroke Rehabilitation
Yeşim Akkoç, Ayşe Nur Bardak, Murat Ersöz, Bilge Yılmaz, Necmettin Yıldız, Belgin Erhan, Hakan Tunç, Kurtulus Koklu, Ebru Alemdaroğlu, Asuman Dogan, Zuhal Ozisler, Engin Koyuncu, Nilgün Şimşir Atalay, Berrin Gündüz, Rıdvan Işık, Ayse Güler, Merve Sekizkardeş, Yasin Demir, Evren Yaşar, Ezgi Sasmaz, Özlem Şatır
BACKGROUND: Review of the literature clearly reveals that little is known about the association between functional and mental status, and Lower Urinary Tract Dysfunction (LUTD) in patients with stroke. OBJECTIVE: The aim of this study was to assess functional and mental status in stroke patients and to identify possible associations with the prevalence, severity and bother of LUTD. MATERIAL AND METHODS: This study was designed as a cross-sectional study and included 260 stroke patients enrolled from six different hospitals in Turkey...
December 20, 2018: Topics in Stroke Rehabilitation
Gulcihan Arkan, Ayse Beser, Vesile Ozturk, Ozan Bozkurt, Selmin Gulbahar
OBJECTIVE: The purpose of this study is to investigate the effects of pelvic floor muscle exercises (PFMEs) done by stroke patients at home in line with the health belief model (HBM) on patient care outcomes and caregivers' burdens. METHOD: In the study, a quasi-experimental design with a pre- and post-test control group was used. The study was conducted with 20 patients in the experimental group and 18 patients in the control group. The patients and caregivers were evaluated at baseline and after the 12-week PFME intervention performed at home...
December 11, 2018: Topics in Stroke Rehabilitation
Kewei Song, Lin Wang, Wenhua Wu
OBJECTIVES: Stroke is a common refractory disease that may cause dysfunctions in the motor system. The study aimed to evaluate the effects of mental practice (MP) compared with other methods on upper limb motor restoration after stroke. METHODS: Eligible studies were identified from Pubmed, Embase, and The Cochrane Library. The study quality was assessed with the Cochrane risk assessment tool and heterogeneity test was performed using I2 statistic and Q test. Random- and fixed-effects models were used and data were reported as weighted mean difference (WMD) and 95% confidence intervals (CIs)...
December 3, 2018: Topics in Stroke Rehabilitation
Inês Albuquerque Mesquita, Ana Rita Vieira Pinheiro, Miguel Fernando Paiva Velhote Correia, Cláudia Isabel Costa da Silva
BACKGROUND AND PURPOSE: The purpose of this study was to review the methods used to analyze the kinematics of upper limbs (ULs) of healthy and poststroke adults, namely specificities of sampling and motor tasks. SUMMARY OF REVIEW: A database of articles published in the last decade was compiled using the following search terms combinations: ("upper extremity" OR "upper limb" OR arm) AND (kinematics OR motion OR movement) AND (analysis OR assessment OR measurement)...
November 29, 2018: Topics in Stroke Rehabilitation
Donghwan Park, Ji-Hyun Lee, Tae-Woo Kang, Heon-Seock Cynn
BACKGROUND: Patients with stroke generally have diminished balance and gait. Mobilization with movement (MWM) can be used with manual force applied by a therapist to enhance talus gliding movement. Furthermore, the weight-bearing position during the lunge may enhance the stretch force. OBJECTIVES: This study aimed to compare the effects of a 4-week program of MWM training with those of static muscle stretching (SMS). Ankle dorsiflexion passive range of motion (DF-PROM), static balance ability (SBA), the Berg balance scale (BBS), and gait parameters (gait speed and cadence) were measured in patients with chronic stroke...
November 26, 2018: Topics in Stroke Rehabilitation
Rongrong Wang, Tong Zhang, Birgitta Langhammer
OBJECTIVES: The information regarding to the long-term outcome of stroke after rehabilitation is limited in China. The aims were to investigate activities of daily living (ADLs) and life satisfaction after stroke in China within 3 years after rehabilitation, and to explore the possible predictors of life satisfaction. METHODS: A longitudinal descriptive study was conducted to evaluate ADLs and life satisfaction of persons with stroke. Participants completed Life Satisfaction Checklist-11 (LiSat-11), and Barthel Index (BI) at discharge, 6, 12 months, and 3 years after discharge...
November 26, 2018: Topics in Stroke Rehabilitation
Ali Bani-Ahmed
BACKGROUND: As clinicians, muscles stretching approaches are one of the most commonly used interventions in rehabilitation. However, there is a need for an in-depth evaluation of research on prolonged stretching in terms of the features of the stretching approaches, such as duration and frequency, as well as the compatible measures of a successful stretching approach. OBJECTIVE: This review is an effort to synthesize findings from studies on "prolonged" stretching approaches in patients with UMNs including stroke, spinal cord injuries, and traumatic brain injuries...
November 26, 2018: Topics in Stroke Rehabilitation
Ozden Ozyemisci-Taskiran, Elif Balevi Batur, Selcen Yuksel, Mustafa Cengiz, Gulcin Kaymak Karatas
BACKGROUND: Fatigue is a frequent complaint after stroke and may be associated with dependence in activities of daily living, decreased quality of life, increased institutionalization and mortality. Although fatigue severity scale (FSS) is the most frequently used scale in stroke, validation studies are scarce. OBJECTIVES: This study aimed to examine the psychometric properties of FSS in subjects with stroke. METHODS: A total of 46 subjects with stroke who were admitted for rehabilitation and 52 control subjects who were admitted for local musculoskeletal problems were included...
November 26, 2018: Topics in Stroke Rehabilitation
Weihong Qiu, Hongli Guan, Zhaocong Chen, Yong Yu, Huixiang Wu, Wilson S Yu, Guorong Qiu, Xiaohuan Feng, Kathy Y S Lee
BACKGROUND AND PURPOSE: Aphasia is a common outcome of stroke affecting one-third of the post-stroke population in China. While the quality of life (QOL) may be affected, care is often inadequately guided due to lack of validated measure for Chinese population with stroke-induced aphasia. This study aimed to develop a Chinese-version of the Stroke and Aphasia Quality of Life-39 generic version (SAQOL-39g) and evaluate its feasibility, reliability, and validity in Chinese patients with stroke-induced aphasia...
November 19, 2018: Topics in Stroke Rehabilitation
Katie L Meadmore, Emma Hallewell, Chris Freeman, Ann-Marie Hughes
BACKGROUND: Training of the upper limb (UL) is limited in stroke rehabilitation, and about 50% of stroke survivors do not regain useful function in their upper limb. OBJECTIVES: This study explored what factors affect rehabilitation and use of upper limb after stroke from a stroke survivor and healthcare professional perspective to better understand low engagement in UL rehabilitation in the chronic stages of stroke. METHOD: Eight chronic stroke survivors and 21 healthcare professionals took part in semi-structured interviews or in one of three focus groups, respectively...
November 13, 2018: Topics in Stroke Rehabilitation
Eric Johns, Carol Wamsley, Anne Whiting
BACKGROUND: Balance is a common mobility limitation following stroke, but determination of the most effective balance-related plan of care can be difficult due to multiple balance impairments that vary between individuals. The Brief-BESTest is a validated outcome measure for balance based on six systems of postural control. It may also be a useful tool to guide clinicians in their balance plan of care design. OBJECTIVE: The objective of this study was to determine the feasibility of a quantitative balance plan of care for patients with subacute stroke, using a novel algorithm that utilizes the scoring design of the Brief-BESTest...
November 10, 2018: Topics in Stroke Rehabilitation
Lizet Van Ewijk, Nicole Ter Wal, Gisella Okx, Paulien Goossens, Iris Groeneveld
BACKGROUND: The psychometric properties of the Dutch version of the Stroke and Aphasia Quality Of Life-scale (SAQOL-39NL) have previously been assessed for people with aphasia after stroke, but not yet for stroke survivors without aphasia. OBJECTIVE: The objective is to evaluate the psychometric properties of the SAQOL-39NL in a stroke sample with and without aphasia. METHODS: The SAQOL-39NL was administered to survivors of stroke (N = 141) who received rehabilitation in specialized rehabilitation facilities, 3 and 6 months after the start of rehabilitation...
October 31, 2018: Topics in Stroke Rehabilitation
Rodrigo Rodrigues Gomes Costa, Jefferson Rosa Cardoso, Clarice Bacelar Rezende, Gustavo Christofoletti, Rodrigo Luiz Carregaro
BACKGROUND: The functional hamstrings/quadriceps ratio (FH/Q) is useful to detect muscle imbalances after stroke. However, is necessary to investigate possible differences between men and women affected by stroke and controls. OBJECTIVES: To compare the FH/Q between men and women with stroke and matched controls. METHOD: Cross-sectional study. Fifty-six participants (10 men - MSTK and 18 women - WSTK with stroke; and 10 men - MCONT and 18 women - WCONT , matched controls) were recruited...
October 30, 2018: Topics in Stroke Rehabilitation
Chien-Chih Chen, Yu-Ching Tang, Miao-Ju Hsu, Sing-Kai Lo, Jau-Hong Lin
BACKGROUND: Neuromuscular electrical stimulation (NMES) and noxious thermal stimulation (NTS) have been developed and incorporated in stroke rehabilitation. OBJECTIVE: This study aimed to compare the effects of NMES, NTS, and the hybrid of NMES and NTS ("Hybrid") on motor recovery of upper extremity (UE) for patients with stroke. METHODS: We conducted a prospective, single-blind randomized controlled trial with concealed allocation...
October 27, 2018: Topics in Stroke Rehabilitation
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